ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse notices that a client who has moderate anxiety is pacing the hall and mumbling. As the nurse approaches the client, he states, 'I am at the end of my rope. I don't think I can take any more bad news.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: "Come with me to an area where we can talk without interruption." This option demonstrates therapeutic communication by acknowledging the client's distress and offering a supportive environment for communication. Moving to a private area allows for a more confidential and focused conversation, fostering a sense of safety and trust. This response also shows empathy and a willingness to actively listen to the client's concerns, which can help alleviate anxiety. Options A, C, and D are incorrect because they do not address the client's immediate emotional needs and may not effectively address the underlying anxiety. Option A generalizes the client's needs without actively listening, option C suggests a generic approach without considering the client's current state, and option D jumps to a medication solution without exploring the client's feelings or needs.
Question 2 of 5
A school nurse is speaking to the mother of a 16-year-old male adolescent. The mother has concerns about her son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?
Correct Answer: A
Rationale: A close connection to someone who has died by suicide is a known risk factor for adolescent suicide.
Question 3 of 5
A nurse is caring for an adolescent client who has a new diagnosis of schizophrenia. The client's parents are tearful and express feelings of guilt. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Encouraging the parents to discuss their feelings helps with emotional processing and coping.
Question 4 of 5
A charge nurse is discussing suicide interventions with nursing staff. Which of the following should the nurse identify as an example of secondary intervention?
Correct Answer: D
Rationale: Secondary intervention involves direct care during a suicide crisis, such as life-saving measures.
Question 5 of 5
A nurse in a drug and alcohol detoxification center is planning care for a client who has alcohol use disorder. Which of the following interventions should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B: Providing for adequate hydration and rest. This is the priority because alcohol detoxification can lead to dehydration and withdrawal symptoms that can be life-threatening. Hydration and rest are essential to stabilize the client's physical condition.
Choice A is incorrect because focusing on positive personality traits is important but not the priority in the acute phase of detoxification.
Choice C is incorrect because confronting denial and defense mechanisms may be necessary but should be approached cautiously and not as the immediate priority.
Choice D is incorrect because educating the client about consequences is important for long-term recovery but not the priority during the acute phase of detoxification.